I hereby authorize Late Model Auto Parts to charge the order as described below to my Credit/Debit Card. I understand that this order is placed by Telephone and that by selecting this option I am signing a binding agreement. This purchase of used auto parts is FOB Kansas City, MO. I understand that if I refuse this shipment all freight charges will be billed to my credit/debit card and I will be charged a 20% restocking fee for ALL non defective returns. By selecting this information I agree that I am the owner or authorized user of this credit/debit card and that I am legally allowed to authorize this transaction.

By checking this box I am agreeing to this consent and give Late Model Auto Parts consent to charge my credit/debit card for the agreed upon amount.